Why ADD/ADHD Increases the Odds of Addiction - And How to Get Better

The odds of addiction go way up for people with ADD/ADHD,
and untreated ADD is one of the leading causes of substance abuse in America today.
Stimulant type medications work in the treatment of ADD/ADHD symptoms, but
these medications may not be advised for people with addictions, due to their
potential for abuse.

ADD and Addiction Facts

40% of children and teens with ADHD have a co-occurring
disorder of Oppositional Defiance Disorder, 21.6% have minor depression (dysthymia)
and 15.2% have an anxiety disorder2

Studies of adults with ADHD have found co-occurring alcohol
abuse disorders at rates ranging from 17% to 45% and drug abuse or dependence
at rates ranging from 9% to 30%3

Studies have shown that people with ADHD are more likely to
develop a substance abuse problem at a younger age, more likely to require
lifetime substance abuse treatment and more likely to develop protracted
substance abuse problems throughout life.4

Symptoms of ADD/ADHD

A large number of ADD/ADHD sufferers never get properly
diagnosed, and some get misdiagnosed with bi-polar disorder. The risks of
addiction for untreated ADD/ADHD increase dramatically, and although there has
been controversy surrounding the medicating of young children, and a concern
that by "drugging" these kids with potent psycho stimulants we would
predispose them to addiction, the reverse has in fact been found true. People
medicated appropriately are far less likely to develop substance abuse
problems.

Anyone who believes they may have ADD/ADHD should get a
professional diagnosis, and treatment.

Some ADD/ADHD symptoms include:

Impulsivity

Forgetfulness

A lack of focus

Impatience

Thrill seeking

Day dreaming

Restlessness

Unusual sleep patterns

ADD/ADHD patients are often very creative and due to unusual
thought processing are sometimes more able to grasp big picture concepts
quickly. Many very successful people achieve even with a diagnosis of ADD/ADHD,
but in general, the disorder makes academic and work performance more
difficult, and less likely.

Why Are ADD/ADHD Patients More Vulnerable to Addiction?

While ADD/ADHD addiction, like addiction in general, remains
only partially understood, there are certain known characteristics of the
ADD/ADHD patient that make the development of an addiction more likely.

ADD/ADHD is very highly correlated with poor academic and
professional performance. Unfortunately, for many ADD/ADHD sufferers, enduring
constant underperformance throughout the developmental years of childhood and
adolescence hurts self esteem - and low self esteem is well correlated to high
levels of substance abuse.

Some ADD/ADHD patients also have trouble forming meaningful
relationships, both friendships and love relationships. They tend to get more
isolated, lack strong social support, and feel lonelier. They are also more likely
to suffer depression. Isolation and depression are very highly correlated with an
increased risk for substance abuse.

There is a theory that ADD/ADHD patient may suffer an
altered dopamine response. Dopamine, the reward (feel good) neuro chemical, may
be released in lesser amounts in those with ADD/ADHD, causing them a lessened
inability to feel normal pleasure. They may need to seek out normal pleasure
levels through intoxication or thrill seeking behaviors.

Although drugs such as alcohol, cocaine or meth can produce
temporary symptoms betterment, these substance over time will worsen ADD/ADHD
severity.

Treatment for ADD/ADHD and Addiction

As for any dual diagnosis, for addiction treatment to work,
treatment must integrate therapies for addiction management with ADD/ADHD
symptoms management. Treating either condition in isolation won't work.
Untreated ADD/ADHD will quickly prompt relapse and abuse, and untreated
addiction will worsen ADD/ADHD symptoms. Treatment must occur in concert.

ADD/ADHD addicts and alcoholics do not require any unusual
treatments for their substance abuse behaviors, and provided their ADD/ADHD
symptoms are managed, conventional addictions treatments prove quite effective.

Treatments for ADD/ADHD symptoms include medication, exercise
and diet modification, psychotherapy and a lengthy participation in peer based
recovery groups.

Medication

The most widely used treatment for ADD/ADHD symptoms control
are stimulant type medications, such as Ritalin or Adderall. These medications
will work for approximately 80% of patients, both children and adults. These
medications, although not intoxicating when used as directed, do carry some
risk for abuse, and so should be used with care for the treatment of an
ADD/ADHD addict in recovery.

Alternative medications, such as the antidepressants
Wellbutrin, Eflexor or SSRI's can be used without risk of abuse.

Although the use of potent psycho stimulants in the
treatment of ADD/ADHD symptoms has been, and continues to be controversial,
they remain widely prescribed because nothing else works as well.

It is vital that ADD/ADHD symptoms moderate for any chance
of a recovery from addiction, and medications that may help need to be
considered.

Exercise and Diet

Behavioral choices on diet and activity levels can have a
significant impact on the severity of ADD/ADHD symptoms expression. A healthy
diet, low in carbohydrates promotes balanced blood sugar and an evenness of
mood and energy.

Vigorous exercise also helps to stabilize mood and
attention, and certain balance type exercises (such as yoga or martial arts)
have been shown to exert an impact on hypothalamic functioning, increasing an
ability to focus.

Anyone in recovery benefits from a healthy diet with
exercise and meditative movements, and these behavioral choices seem especially
important for the ADD/ADHD addict in recovery.

Therapy

Therapy benefits the ADD/ADHD patient for several reasons.
Many enter into substance abuse in part from lowered self esteem, a lack of
confidence, and an inability to form lasting friendships. Medication can help
to alleviate symptoms of the disorder, but unless the underlying psychological
distress gets dealt with, lasting recovery is unlikely.

Working with a therapist, patients can better understand
their disorder, understand how their disorder and their self worth must be
distinct entities, and learn effective life and coping skills.

Peer Recovery

All addicts and alcoholics in recovery require a lasting
participating in aftercare for the best chance of sobriety, and ADD/ADHD
patients need this more than most.

Regular reinforcement of recovery lessons help those that have
difficulty focusing on long-standing goals incorporate recovery techniques into
everyday life. The meetings also provide additional daily structure – structure
that can help a lot.

Additionally, many ADD/ADHD patients in recovery find
aftercare peer groups such as AA or NA great places for social support, often
making lasting friendships with like minded people. Many alcoholics in recovery
suffer from ADD/ADHD, and there can be an understanding and fellowship in
recovery groups that is hard to find in regular society. Sober support helps.

ADD/ADHD increases the likelihood of an addiction, it also
complicates the treatment, but any treatment that works concurrently on issues
of addiction and ADD/ADHD symptoms has a great chance of success.